Premium
Management of Intractable Pleural Effusion in a Dog with a Pleuroperitoneal Shunt
Author(s) -
SMEAK DANIEL D.,
GALLAGHER LAURA,
BIRCHARD STEPHEN J.,
FOSSUM TERESA W.
Publication year - 1987
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1987.tb00941.x
Subject(s) - medicine , chylothorax , thoracentesis , pleurodesis , surgery , pleural effusion , pleural cavity , shunt (medical) , effusion , thoracic duct , thoracic cavity , hypoproteinemia , complication , peritoneal cavity , lymphatic system , immunology
Persistent nonchylous pleural effusion followed thoracic duct ligation for chylothorax in a dog. Attempts at tetracycline pleurodesis twice failed to reduce the quantity of pleural effusion. Repeated thoracentesis caused malnutrition and hypoproteinemia. A modified Denver® peritoneal‐venous shunt was implanted to internally drain the pleural fluid into the peritoneal cavity. Normal body weight and plasma protein concentration were regained in 40 days. Digital compression of the pump chamber alleviated the signs of respiratory compromise, without complication. At 50 weeks post‐installation, a proteina‐ceous clot obstructed the original efferent pump valve, necessitating shunt replacement. Eight weeks after replacement, the dog was asymptomatic.